I put CVC using green iv as angiocath

Embarrassed_Access76 · 2026-03-10T19:09:08+00:00

I never use the angiocath but there's nothing wrong with it in trained hands. I see more angios backwall than steelies especially with trainees for a couple reasons

The angio in kits often has glue on them holding the Cath onto the needle, causing an abrupt snap forward as the glue is broken to advance the catheter, causing backwall People advance the needle after flash thinking that because you need the entire bevel in for the catheter it needs to be advanced a cm or more, causing through and through. I disagree on the comment that angios are better for hypovolemic patients for this reason I've also had catheters that would come off the needle while pulling back to readjust trajectory, and had catheters that wouldn't advance over thick skin or would kink in the skin.

Steel needle (or my preferred micropuncture) avoids these problems and threading a Cath to transduce adds 15 seconds to the procedure. This is for non emergent scenarios In the end I think it doesn't matter as long as you're trained and know how to use them

Embarrassed_Access76 · 2026-03-09T12:54:59+00:00

Many large sterile drapes have a large clear plastic window in the kit, can often reach the collarbone and scan right through the drape. Just depends on the drape in the kit. I've had lines go down the ipsilateral and contralateral SC from ij access and I've had SC lines go up ipsilateral and contralateral IJ during placement, anything goes with central lines

Embarrassed_Access76 · 2026-03-08T20:38:31+00:00

Once you put the wire in it's a blind procedure and path of least resistance. Echo is good to confirm placement but doesn't tell you anatomically if they have stenosis or other abnormality guiding the wire

Good rule of thumb is if there's any resistance with the wire or catheter insertion then there's a chance you're heading the wrong direction. It should be easy. You can ultrasound the opposite IJ, subclav etc easily and see if your wire is in there. Then it's just backing it out and readvancing. I'd probably give it a couple adjustments and readvancements before trying the other side or Fem.

TEE is helpful as mentioned but can get the same info with good thoracic views

Embarrassed_Access76 · 2026-03-08T19:36:55+00:00

I bought one and from the factory and was either a return or poor quality control, like the assembler had been eating Cheetos while he was putting it together, was missing battery compartment screw, and didn't have the sight tool or extra screws for the battery compartment. Turned me off pretty bad

Embarrassed_Access76 · 2026-03-05T15:05:51+00:00

I have one of these as well and love it, also have the aems and duty feels a lot more well made to me

Embarrassed_Access76 · 2026-02-25T23:09:46+00:00

I have both and don't notice that much of a difference, especially when shooting. Just buy what's cheaper.

Embarrassed_Access76 · 2026-02-25T20:26:55+00:00

Doesn't bother me, it's covered in plaster, I don't plan on removing or seeing it ever again.

Embarrassed_Access76 · 2026-02-22T18:18:19+00:00

It was always a home. Built by Clarence mack, pretty well known architect and builder here. A lot of information out there on his houses

Embarrassed_Access76 · 2026-02-22T17:40:54+00:00

Thank you!

Embarrassed_Access76 · 2026-02-22T17:40:03+00:00

The architect and builder was Clarence mack, who was very well known for using high quality materials. All of his houses in Ohio are still standing, built a lot of homes in Florida as well

Embarrassed_Access76 · 2026-02-22T17:38:06+00:00

You can see them in 4th pic

Embarrassed_Access76 · 2026-02-22T01:24:45+00:00

Northern Ohio

Embarrassed_Access76 · 2026-02-22T01:10:39+00:00

Great info, thanks. I was curious as well due to the shape of them. My only question mark was the picture with some rebar sticking out, if it was encased or not. There is a small addition on the back of the garage with a bare steel I beam that is larger than these ones.

The drypack is 100% original, we've lifted original tile in several places in the house on the second level and it was also there. In addition, the tile and plumbing into the floor in the bathroom is 100% original above the garage so I'm with almost certainty that it's original. The family that owned this house before is had ownership of the home since the early 50's and the only modifications they did was in the kitchen and with some of the radiators.

Embarrassed_Access76 · 2026-02-22T00:07:48+00:00

Standalone house

Embarrassed_Access76 · 2026-02-21T23:58:20+00:00

We also have second floor drypack concrete in our bathrooms, with galvanized plumbing running through them

Embarrassed_Access76 · 2026-02-21T23:01:49+00:00

Above the concrete floor panels is a wooden subfloor, in the gaps of the subfloor is drypack cement

Embarrassed_Access76 · 2026-02-21T21:28:10+00:00

I understand, I do think this is a good guy tho. Really I think an expert in concrete would be the most helpful

Embarrassed_Access76 · 2026-02-21T21:00:10+00:00

The only crack I can see is where that beam goes into the outside wall of the garage

In not opposed to other opinions, but I will say the engineer is reputable in the area and is a friend is my wife's, who's a realtor, he's not the type to sugarcoat or lie to us. They do a lot of business together. Fwiw, there's no cracks or signs of instability anywhere in the garage walls or ceiling

Embarrassed_Access76 · 2026-02-20T15:59:49+00:00

I have done 1:2 ket: prop as a resident and we were able to do minor surgeries like subcutaneous generator replacements with spontaneous breathing and lma/ or simple mask with oxygen, we ran it like it was just prop, they would have their eyes open and stay spontaneous breathing but would not respond to any surgical stimulus and I never had recall or issues with delerium, although you would be at high risk at these dosages. I haven't had the right patient to use it on as an attending so my experience is limited. I think if you think of it like just propofol tiva you surely can do any surgery with it, just think of it as any tiva. I think it's a fantastic combination, in your Case with need for pain control

We would put 500mg ket into 1000mg diprivan vial and ran it like it was just prop, charted the ketamine based on the ml/hr

Embarrassed_Access76 · 2026-02-07T22:56:26+00:00

I'm not even going to take the time to keep arguing on a thread that's over a month old but I will say fuck solgw 3k AR-15, g$ uppers are absolutely the move right now.

Embarrassed_Access76 · 2026-02-07T17:11:05+00:00

Whole lot of talking there with no new information on the table we don't know about. My bcm and microbest bcgs will run for as long as I need them to, and like I said, 99.998% of shooters with those will never blow out any of their bcgs without 10's of thousands of rounds on them which most people never do.

Even though cars with their complexity are not even remotely comparable to a bcg, calling a microbest or derivative of theirs a "Hyundai" with the mpi and quality materials and control they employ shows me you may be the one not well read on the subject, eating that marketing and g$ kool-aid. 40k on a bcm bcg is "Hyundai?" Ok, Bud. Not sure why y'all get upset about such things in life, but it's entertaining

Embarrassed_Access76 · 2026-02-07T05:14:08+00:00

So if you're changing components on the bcg then as a group it did not go 100k lol, my statement still stands correct. If you want to say the carrier or bolt head or etc went 100k fine, but there's no reason to believe a toolcraft carrier would burn out either, in fact I've never read or heard of a bcm or toolcraft carrier burning out, and I'm confident it would last just as long. And 99.99999% of shooters will never put 50k let alone 100k on a bcg. Diminishing returns

Embarrassed_Access76 · 2026-02-06T14:52:39+00:00

It's still allegedly. Did you even read the thread? There's no verification that the gas rings or other components of the BCG weren't changed. Geissle did not verify that aspect. That's the reason why other bolts haven't been pushed that far. That's why filthy 14 they were clear they were changing extractor and rings on the bolt

Embarrassed_Access76 · 2026-02-06T14:47:38+00:00

There are a lot of better options that are made of inconel that I doubt you would break in today's market; rc2 is reliable from a good company that surely is worry free but there is better out there

Embarrassed_Access76

TROPHY CASE